Trigger - Dysrhythmias 2

Question 1

varied p wave morphology with a rate between 50-180

Answer 1

ectopic atrial arrhythmias

Question 2

treated with:
1. BB and non DHP CCB
2. if refractory: 1C or class III

Answer 2

atrial tachycardia

alsofor medication therapy in prevention of recurrent PSVT

Question 3

if a person has had afib for 7 months, what stage are they in?

Answer 3

long standing persistent (>1 year)

Question 4

risk factors include: HTN, CHF, Age, CAD, Valvular HD

Answer 4

Afib

Question 5

underlying heart disease with which dysrhythmia is known to cause hypotension

Answer 5

afib

Question 6

this dysrhythmia can lead to cardiomyopathy, hypotension and development of thrombi

Answer 6

afib

Question 7

can use CCB, BB, or digoxin as first line for this dysrhythmia

Answer 7

afib (these are for rate control)

you would also use a med for rhythm such as:
amiodarone, dronedarone, flecainide, propafenon, sotalol, dofetilide

you would also use a medication for anticoag such as:
aspirin, warfarin, LMWH, ELIQUIS, pradaxa, savaysa.

Question 8

which rate medication would you avoid for a patient who has afib with a history of heart failure

Answer 8

CCB

Question 9

which rate medication would you avoid for a patient who has afib with a history of asthma or has bronchospasms

Answer 9

BBs

Question 10

which rate medication would you avoid for a patient who has afib with a history of kidney failure

Answer 10

Digoxin

Question 11

your patient has afib and their past medical history is free of any heart disease, what possible medications could you give them?

Answer 11

1st line: dronedarone, flecainide, propafenone, sotalol
2nd line: amiodarone, dofetilide, catheter ablation

Question 12

your patient has afib and their past medical history includes hypertension with no LVH, what possible medications could you give them?

Answer 12

1st line: dronedarone, flecainide, propafenone, sotalol
2nd line: amiodarone, dofetilide, catheter ablation

Question 13

your patient has afib and their past medical history includes hypertension with LVH, what possible medications could you give them?

Answer 13

1st line: amiodarone
2nd line: caridac ablation

Question 14

your patient has afib and their past medical history includes CAD, what possible medications could you give them?

Answer 14

1st line: dofetilide, dronedarone, sotalol
2nd line: amiodarone or cath ablation

Question 15

when would you use coumadin/warfarin in afib

Answer 15

if you had valvular afib

Question 16

when is LMWH or Heparin indicated at the AC used in afib

Answer 16

in the ER!

also can be used for bridging , but def used in ER

Question 17

what is the use of pradaxa, xarelto, savaysa and eliquis

Answer 17

long term AC for afib.

rice likes eliquis

Question 18

when is Multifocal atrial tachycardia MC

Answer 18

in lung patients